TODD A IRWIN MD - Medical Doctor License in Michigan | # 33*****04

TODD A IRWIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

N

Title

MD

First Name

TODD

Middle

A

Last Name

IRWIN

Business Name

TODD A IRWIN MD

Original Issue Date

04/10/2008

Effective Date

07/24/2012

Expiration Date

07/31/2014

State

MI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/11/2017